성인에서 생긴 복강 내 탈장 2예: 장간막 및 자궁넓은 인대 결손 부위 탈장
Internal Hernia in Adult Patients: Transmesenteric Hernia and Internal Hernia through a Defect of the Broad Ligament
이상명, 이인규, 이윤석, 강원경, 안창혁, 이도상, 정승은, 장석균,
소속 상세정보
이상명 ( Lee Sang-Myong )
가톨릭대학교 의과대학 외과학교실
이인규 ( Lee In-Kyu )
가톨릭대학교 의과대학 외과학교실
이윤석 ( Lee Yoon-Suk )
가톨릭대학교 의과대학 외과학교실
강원경 ( Kang Won-Kyung )
가톨릭대학교 의과대학 외과학교실
안창혁 ( An Chang-Hyeok )
가톨릭대학교 의과대학 외과학교실
이도상 ( Lee Do-Sang )
가톨릭대학교 의과대학 외과학교실
정승은 ( Jung Seung-Eun )
가톨릭대학교 의과대학 방사선과학교실
장석균 ( Chang Suk-Kyun )
가톨릭대학교 의과대학 외과학교실
KMID : 0356720060220060428
Abstract
An internal hernia is a rare disease that causes bowel obstruction. It is difficult to diagnose because the symptoms and the signs are the same as those for other obstructive diseases of the bowel. Early diagnosis and management are essential, and early surgical management may reduce complications such as ischemia, and strangulation. We experienced two cases of internal hernias. One patient underwent a laparotomy, and had a transmesenteric defect with a herniated and strangulated small bowel segment. The other patient underwent a laparoscopic surgery, and we found that the left broad ligament had a focal defect with a herniated small bowel segment. An internal hernia is an uncommon disease, and its differentiation from other obstructive diseases of the bowel is difficult. However, the clinician should consider that the internal hernia might be the cause of the bowel obstruction, especially in patient with no previous history of intra- abdominal surgery. Early diagnosis can improve the clinical outcome through early surgery. J Korean Soc Coloproctol 2006;22:428-431
키워드
복강 내 탈장;장간막 탈장;자궁넓은 인대
Internal hernia;Transmesenteric hernia;Broad ligament
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